Partner(s):
Helen de Pinho and Lynn P. Freedman
Averting Maternal Death and Disability Program, Mailman School of Public Health

Access:
PrivateReleased: October 2010

Lanretam is a web-based case study that focuses on the problem of how to reduce maternal mortality by ensuring the implementation of emergency obstetric services (EmOC) services. CCNMTL and Dr. Helen de Pinho, MD, MBA and Lynn P. Freedman, JD, MPH of the Averting Maternal Death and Disability (AMDD) Program in the Mailman School of Public Health developed this project.

In the case study, a fictional country, Lanretam, has piloted a new cadre of health workers called non-physician clinicians (NPCs) and is faced with managing a national scale-up program. Students play the role of experts who assess the health system, review midterm evaluation results, and advise the government on strategies to create an enabling environment. Students consider factors that would support NPCs and institutionalize their functioning, such as human resources management, human resource policy and planning, referral, infrastructure and commodities, regulation policies, and quality of care.

The Lanretam Ministry of Health website features a detailed description of the country's health system, including its management, human resources, and programs. Realistic statistics and area maps enhance the authenticity of the case study. Lanretam has been used at Columbia in Dr. de Pinho's Systems Thinking Approach to Health Systems course and in Africa with care providers and human resource personnel.